Individual
BARBARA BRADFORD SPECTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
39330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1277K
BCBS
—
05
—
3002241000
—
WV
01
—
370020946
RR MEDICARE
—
01
—
4455166
AETNA
—
05
—
7234171
—
VA
01
—
7579
PARTNERS
—
05
—
891277K
—
NC
01
—
A4631
MEDCOST
—
05
—
Q39330
—
SC
Enumeration date
12/08/2005
Last updated
10/08/2010
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